Healthcare Provider Details

I. General information

NPI: 1376822890
Provider Name (Legal Business Name): VICTORIA MICHELLE GOLEMIS BARTEL PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2011
Last Update Date: 11/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 18TH ST SUITE 250
DENVER CO
80202-2499
US

IV. Provider business mailing address

3801 E FLORIDA AVE SUITE 330
DENVER CO
80210-2571
US

V. Phone/Fax

Practice location:
  • Phone: 303-295-1403
  • Fax: 303-297-3021
Mailing address:
  • Phone: 303-370-2670
  • Fax: 303-370-2696

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8457
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: